Individual
JOHN TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1535 N WILLIAMS AVE, PORTLAND, OR 97227-1885
(503) 238-2067
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 294-1681
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201404575RN
OR
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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